Individual provider Active NPI

Ferdinando David Forcellati, PT MA PT GDMT

  • Physical Therapist
  • North Bergen, NJ
National Provider Identifier
1235204264
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00565100 Issued in NJ
Practice address
9226 Kennedy Boulevard 2ND Floor
North Bergen, NJ 07047
Phone
(201) 861-4447
Fax
(201) 861-3330
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00565100 NJ Primary

Addresses

Primary practice location

9226 Kennedy Boulevard 2ND Floor
North Bergen, NJ 07047

Mailing address

9226 Kennedy Blvd
2ND Floor
North Bergen, NJ 07047-5312
Phone (201) 861-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081223000075 NJ Practitioner - Physical Therapist in Private Practice 1355403544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Health Associates, LLCGroup PAC ID 4385829605, 2 clinicians

Practice addresses (Care Compare)

458 Union Blvd
Suite C
Totowa, NJ 07512-2562
Phone (973) 638-1160

458 Union Blvd C
Totowa, NJ 07512-2562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
40QA00565100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Physical Therapy & Wellness, LLC Physical Therapist CurrentSince Mar 5, 2011 Accepting new patients

Locations

458 Union Blvd
Ste C
Totowa, NJ 07512
Phone (973) 638-1160

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1235204264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9226 KENNEDY BLVD",
            "address_2": "2ND FLOOR",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475312",
            "telephone_number": "201-861-4447",
            "fax_number": "201-943-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9226 KENNEDY BOULEVARD 2ND FLOOR",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-861-4447",
            "fax_number": "201-861-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORCELLATI",
        "first_name": "FERDINANDO",
        "middle_name": "DAVID",
        "credential": "PT MA PT GDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00565100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.